Re: Can't Get My Refill

[Guest guest]

--- In , " wheelerm1975 " <wheelerm1975@...>

wrote:

>

> Hello, my name is Liz and I am fairly new to the group. I have been on

> Xolair for 2 months. I get two shots every 2 weeks. I just received

> the last two yesterday. Anyway, today I called Curascript to get my

> refill sent to the doctor's office and was told my insurance would not

> cover the charges. Then I called the insurance company, BCBS of AL,

> and all they could tell me was that my plan did not cover mail order

> scripts. I tried to explain that this was a specialty med but it

> didn't seem to matter. The supervisor could not even help. I have a

> call into my doctor's office for the Xolair coordinator, but was

> wondering if anyone else has had a similar problem. I don't understand

> how they can process something twice and suddenly have no idea what I

> am talking about. Sorry for venting, but it took over a year for them

> to get me started on Xolair due to all the confusion with the insurance

> company. I guess it isn't any help that I have had bronchitis and can't

> seem to get over it. Doctor put me on another week of Biaxin and

> another taper of prednisone yesterday. Thanks for giving me someplace

> to vent. Family and friends don't seem to understand why I am so

> frustrated.

Liz,

You are among friends here and we know EXACTLY what you are going

through. My doctor's office has about 17 Xolair patients and he has

one nurse who does all of the insurance hassle so the patients don't

have to.

I had an insurance change in 2008. Same company, same Rx provider but

a different policy and different Specialty Pharmacy. Well, we had to

start all over again from scratch. (Typical!! )

I haven't received my first shipment for 2008 yet but our xolair nurse

has contacted them several times and they have agreed to cover it

AFTER my deductible is met.

Well, it is now met. I won't believe I actually have coverage till I

see it in his office by my own eyes and am holding my breath.

Literally! LOL

My secretary has bad migraines and nothing but Maxalt will help her.

It is terribly expensive and her insurance company has refused to pay

for it. It is not even a specialty drug.

Her doctor and his staff are working on the problem at the

moment. In the mean time, she suffers. Some doctors have actually

given samples to their patient when these things occur, unfortunately,

Xolair does not fit into this category.

Doug

Group founder

on Xolair 4+ years

[Guest guest]

Liz,

I would say have the Xolair person from the office call and take care of the

script. It is ok to vent here because many of us have been there in one way or

another.

Good luck.

Sr. Volz, C.R.

wheelerm1975 <wheelerm1975@...> wrote:

Hello, my name is Liz and I am fairly new to the group. I have been on

Xolair for 2 months. I get two shots every 2 weeks. I just received

the last two yesterday. Anyway, today I called Curascript to get my

refill sent to the doctor's office and was told my insurance would not

cover the charges. Then I called the insurance company, BCBS of AL,

and all they could tell me was that my plan did not cover mail order

scripts. I tried to explain that this was a specialty med but it

didn't seem to matter. The supervisor could not even help. I have a

call into my doctor's office for the Xolair coordinator, but was

wondering if anyone else has had a similar problem. I don't understand

how they can process something twice and suddenly have no idea what I

am talking about. Sorry for venting, but it took over a year for them

to get me started on Xolair due to all the confusion with the insurance

company. I guess it isn't any help that I have had bronchitis and can't

seem to get over it. Doctor put me on another week of Biaxin and

another taper of prednisone yesterday. Thanks for giving me someplace

to vent. Family and friends don't seem to understand why I am so

frustrated.

---------------------------------

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[Guest guest]

> >

> > Hello, my name is Liz and I am fairly new to the group. I have

been on

> > Xolair for 2 months. I get two shots every 2 weeks. I just

received

> > the last two yesterday. Anyway, today I called Curascript to

get my

> > refill sent to the doctor's office and was told my insurance

would not

> > cover the charges. Then I called the insurance company, BCBS of

AL,

> > and all they could tell me was that my plan did not cover mail

order

> > scripts. I tried to explain that this was a specialty med but

it

> > didn't seem to matter. The supervisor could not even help. I

have a

> > call into my doctor's office for the Xolair coordinator, but was

> > wondering if anyone else has had a similar problem. I don't

understand

> > how they can process something twice and suddenly have no idea

what I

> > am talking about. Sorry for venting, but it took over a year

for them

> > to get me started on Xolair due to all the confusion with the

insurance

> > company. I guess it isn't any help that I have had bronchitis

and can't

> > seem to get over it. Doctor put me on another week of Biaxin

and

> > another taper of prednisone yesterday. Thanks for giving me

someplace

> > to vent. Family and friends don't seem to understand why I am

so

> > frustrated.

>

>

> Liz,

>

> You are among friends here and we know EXACTLY what you are going

> through. My doctor's office has about 17 Xolair patients and he

has

> one nurse who does all of the insurance hassle so the patients

don't

> have to.

>

> I had an insurance change in 2008. Same company, same Rx provider

but

> a different policy and different Specialty Pharmacy. Well, we had

to

> start all over again from scratch. (Typical!! )

>

> I haven't received my first shipment for 2008 yet but our xolair

nurse

> has contacted them several times and they have agreed to cover it

> AFTER my deductible is met.

>

> Well, it is now met. I won't believe I actually have coverage till

I

> see it in his office by my own eyes and am holding my breath.

> Literally! LOL

>

> My secretary has bad migraines and nothing but Maxalt will help

her.

> It is terribly expensive and her insurance company has refused to

pay

> for it. It is not even a specialty drug.

>

> Her doctor and his staff are working on the problem at the

> moment. In the mean time, she suffers. Some doctors have actually

> given samples to their patient when these things occur,

unfortunately,

> Xolair does not fit into this category.

>

> Doug

> Group founder

> on Xolair 4+ years

I just want to thank everyone for listening... Good news came

today. My liason at the Dr.'s office called to let me know she had

it all taken care of and my order is being shipped. She says this

is not uncommon. I am thankful she was able to get my problem

resolved rather quickly, but it is sad that so many people have

these problems.

Liz

>